PMT18-03724 City of Menifee Permit No.: PMT18-03724
29714 HAUN RD.
® MENIFEE,CA 92586 Type: Commercial Alteration
MENIFEE MENIFEE Date Issued: 09/20/2018
PERMIT
Site Address: 29101 NEWPORT RD, Suite#105, Parcel Number: 364-390-005
MENIFEE, CA 92584 Construction Cost: $142,875.00
Existing Use: Proposed Use: Retail
Description of INTERIOR TENANT IMPROVEMENT FOR WOLFEE DONUTS
Work:
OCCUPANCY: B, CONSTRUCTION:V-B, SF: 1143 TOTAL, 1 STORY, NO FIRE SPRINKLERS
INCLUDED IN PLANS
Owner Contractor
US SLATON LLC JJC PROJECT MANAGEMENT GROUP INC
1949 ARROYO DRIVE 843 HIGHRIDGE STREET
RIVERSIDE, CA 92506 RIVERSIDE,CA 92506
Applicant Phone:9517894800
843 HIGHRIDGE STREET License Number:827698
RIVERSIDE, CA 92506
Phone: 9517894800
Fee Description QQt�� Amount($)
Fire-Tenant Improvement Building 1 696.00
Non-Residential Appliances, up to 1 HP 1 116.00
Services,Switchboards, Control Centers& Panels 1 183.00
Receptacle, Switch,Outlet&Fixture 48 351.00
Plumbing Fixtures and Vents,fixtures 8 141.00
Gas System 1 116.00
Water Heater 1 83.00
Sewer 1 150.00
Hood Served by Mechanical Exhaust 1 219.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 944 943.96
GREEN FEE 1 6.00
SMIP RESIDENTIAL 1 19.00
New Construction Permit Fee 1 657.23
General Plan Maintenance Fee-New 1 32.86
Construction
$3,741.05
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
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CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and n I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. the following reason:
License ClasszI, B 'tense Na. ST/�R(Rota
/�
I By my signature below I acknowledge that,except for my personal residence
Expires O 9 Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECIA I N improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed in its entirety by
❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.leginfo.ca.gov/calaw.htmi.
Policy# Date
o I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which a By my signature below I certify to each of the following:I am the property
this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier �' r F with all applicable city and county ordinances and state laws relating to
Policy# bq(p(R-77 Expires p q building construction.I authorize representatives of this city or county to
l l) lam, enter the above identified property for inspection purposes.
(This section need notto he completed is the permit is for one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
❑1 certify that in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,1 shall f hwith comp) ith those provisions. Will the applicant or future building occupant handle hazardous material ore
Applicant Date O mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING: Al RE 705E[URE WORKER'S COMPENSATION COVERAGE IS ❑Yes oNo
UNLAWFUL D SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes o No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is Issued outer boundary of a school?
(Section 3097 Civil Code) ❑Yes ❑No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to ciYes ❑No
construct,alter,improve,demolish or repair any structure,prior to its Date
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRP1
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from Iicensure receiving compensation for most work that disturbs paint in apre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare n for most
heork that disturbs
ified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required radices.This includes rental property than($500). q P p p rty owners and property
managers who do the paint-disturbing work themselves or through their
o I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because:
n I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 70",Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
Y
DATE: PERMIT/PLAN CHECK NUMBER
PLANNING CASE NUMBER
TYPE: XCOMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME C POOL/SPA O SIGN
SUBTYPE: O ADDITION XALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OFSQUARES
DESCRIPTION OF WORK 1+ • r� 7CN,6N7 f )2DU t it DaWT
V - N b S l S+-D u-s. 3q" 1 o
PROJECTADDRESS 1Q101 N6W(0MT'J'jv" -TTI '6p), ZIP 15,94-
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME OV_ JT�J Gj LIN -I-
ADDRESS '2 1.q1 N�fUW OJLL! 1�„ t(o(y^ 9 PHONE i qfj Q -7-4 , ^0$0 v EMAIL OLftf '90N1�(P,-yA .Va06 ,C
APPLICANT NAME CJ C, taWM ewUc .
ADDRESS 9+i � RN IlDC CA ,
PHONE (9001) EMAIL .4 CCU A "' . C:
CONTRACTOR'S NAME ' jj iIp 7 OWNVRAIAR&Me O YES NO
BUSINESS NAME
Building Dept.
ADDRESS JUL 3 0 2018
PHONE EMAIL in
ed
CONTRACTOR'S STATE LIC NUMBER ;�(O `) LICENSE CLASSIFICATION C-
VALUATION$ SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE —7 )acd } 1�3
OTYSTAiArSE ONLY
UEPARTMENT DISTRIBUTION ACCEPTED BY-
BUILDING
MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENG EERING FIRE
INVOICETOTAL L� I. GREEN
SMIP
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER C YES O NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofinenifee.us n
ENIF
MVM�5- o3-j t
City of Menifee P.O. Box 8300
EASTERN Building Dept. Perris, CA 92572-8300
e m w d MUNICIPAL (951) 928-3777
"'" RDISTRICT� SEP 2 0 2018
CLEARANCE FROM FURTIReceived
EMWD RELEASES
[X] Release for Occupancy []Shell Only - Not for Occupancy Release
Business Name: WOLFEE DONUTS Date: 09/1 812 01 8
Contact Name: JOE MARIN Contact Phone: (951) 990-5209
Contact Address: 29997 CANYONHILLS RD, #1602 Phone Ext:
LAKE ELSINORE, CA 92532
Email Address: _wolfeedonuts@yahoo.com Contact Fax:
EMWD Provides: [ ] Water [ ] Sewer [X] Water and Sewer
Requesting Agency: CITY OF MENIFEE—EMAIL: BRIVERA@CITYOFMENIFEE.US,
CCARLSON@CITYOFMENIFEE.US;AKEARNEY@CITYOFMENIFEE.US;
MBINNALL@CITYOFMENIFEE.US; RSHARP@CITYOFMENIFEE.US;
TBI LO@CITYOFMENIFEE.US
Requesting Agency: RIVERSIDE CNTY ENV HEALTH—TEM/MURK/SUN CITY/MENIFEE—LILIANA LIZALDE
LLIZALDE @RIVCOCHA.O RG
Type of Request: [ ] New Single Dwelling [X] Business
Service Address: 29101 Newport Road Suite 105 Menifee CA 92584
APN Number:
Tract Number: Lot Number:
Business Type: RETAIL SALES
FOR OFFICE USE ONLY:
EMWD Fees: [ ] Paid [X] Not Applicable
*Any future alterations involving water usage and/or plumbing configurations should be reported to the District at
(951) 928-3777, ext. 4411.
Additional Comments: No grease interceptor is required.
SCARLETTDRAPER—SOURCE CONTROL DIVISION 9/18/2018 (951) 928-6115
EASTERN MUNICIPAL WATER DISTRICT Date Fax Number
SC User Reference Number:SC2018000274
WS Reference Number.WS20180000902
County of Riverside
DEPARTMENT OF ENVIRONMENTAL HEALTH Cityof Menifee
mg Bept,
,,,•�, FOOD ESTABLISHMENT PLAN APPROVAL NOTICE
SEP202018
Service Request# Date 8ceiued
Project Name Wolfee Donuts Address 29101 Newport Rd., #105, Menifee, CA
Plans Submitted by James Cuevas Phone 909-227-1608
Owner SAA Address SAA Phone SAA
The plans are now approved subject to the conditions listed below and the attached compliance sheet.
1) All equipment installations to be verified onsite during the required inspections.
2) Provide will serve and grease interceptor waiver/clearance letters from EMWD at time of plan pick-
up.
CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is
approximately 80% complete, with plumbing, rough ventilation, and rough equipment installed. Request for
inspection should be made at least five (5)working days in advance.
A FINAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to
operate shall not be granted, or remodeled areas approved to operate, until the facility has passed the FINAL
INSPECTION, and "APPLICATION TO OPERATE" has been completed and PERMIT FEES have been paid.
Request for inspection should be made at least five (5)working days in advance.
PLANS CHECKED BY Jeff Lojeski, REHS Phone 951-766-2824
1 acknowledge the corrections noted herein and s indicated he plans and agree to incorporate them during
construction: `,
Signature DateB
Company a 7JG')j d&,7 IJUIVZ615 10 7 6y4Vp1A)6.
nCY_C AM.119(2— 1Q A)
Corona Hemet Indio Murrieta Palm Springs Riverside-west Riverside-East
2275 S.Main St#204 800 S.Sanderson#200 47-M Arabia St"A" 38740 Sky Canyon Dr. 544 S.Paseo Dorotea 4065 County Circle 3880 Lemon St.
Corona,Ca 92882 Hemet,Ca 92545 Indio,Ca 92201 Murrieta,Ca 92563 Palm Springs,Ca Riverside,Ca 92503 Riverside,Ca 92501
(951)273.9140 (951)766.2824 (760)863.8287 (951)461.0284 92264 (951)358.5172 (951)955.8982
Fax(951)520.8319 Fax(951)766-7874 Fax(760)86M303 Fax(951)461.0245 (760).320.1048 Fax(951)358.5017 (951)955.8988
Pax(760)320,1470
Department Web Site-www.rivcoch.org